scholarly journals Surgical Treatment of Coronary Pseudoaneurysm: A Case Report and Literature Review

2020 ◽  
Vol 23 (3) ◽  
pp. E287-E291
Author(s):  
Haiyan Xiang ◽  
Rifeng Gao ◽  
Juesheng Yan ◽  
Juxiang Li ◽  
Jin Li ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Surgical Treatment ◽  
Coronary Angiography ◽  
Bypass Surgery ◽  
Chest Trauma ◽  
Rare Complication ◽  
Chest Tightness ◽  
Coronary Pseudoaneurysm ◽  
Extracorporeal Bypass

A coronary pseudoaneurysm is a rare complication of chest trauma. In this report, we describe the case of a 65-year-old man with a mediastinal lesion. On admission, he complained of chest tightness and dry cough, and a pseudoaneurysm was confirmed in the left anterior descending branch of the coronary artery on chest computerized tomography, angiography, and coronary angiography. The patient had experienced chest trauma 5 years previously. With the help of extracorporeal bypass surgery, the pseudoaneurysm was resected under direct observation. The patient recovered well after surgery. Traumatic coronary artery pseudoaneurysms usually are asymptomatic and often misdiagnosed. Preoperative coronary angiography is a crucial diagnostic used for deciding appropriate surgical management.

scholarly journals Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report

2019 ◽  
Author(s):  
Ferhat Borulu ◽  
Bilgehan Erkut
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Bypass Surgery ◽  
Saphenous Vein Graft ◽  
Rare Complication ◽  
Artery Bypass ◽  
Prosthetic Graft ◽  
Ascending Aorta ◽  
Aortic Replacement ◽  
Acute Dissection

Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. In this case report, we present a case of aortic dissection due to cross-clamp injury in a patient who underwent coronary artery bypass surgery. A 60-year-old female patient underwent double-vessel aortocoronary bypass surgery due to coronary artery disease. After distal bypasses were performed and the cross-clamp was removed, dissection of the aorta occurred. Consequently, axillary cannulation and ascending aortic replacement with a prosthetic graft were performed via the open technique. The saphenous vein graft was sutured to the aortic prosthetic graft, and cardiopulmonary bypass was terminated after hemodynamic stability was achieved. The patient was discharged on the 10th postoperative day, and she has been followed up for 2 years after surgery without any problems.   J Teh Univ Heart Ctr 2019;14(4):191-194   This paper should be cited as: Borulu F, Erkut B. Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report. J Teh Univ Heart Ctr 2019;14(4):191-194.

scholarly journals Coil embolization for ruptured coronary pseudoaneurysm causing haemopericardium: a case report

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Takashi Nakagawa ◽  
Hisao Hara ◽  
Momoko Wakiya ◽  
Yukio Hiroi
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Thoracic Surgery ◽  
Rare Case ◽  
Tube Thoracostomy ◽  
Artery Pseudoaneurysm ◽  
Case Summary ◽  
Coronary Pseudoaneurysm ◽  
History Of

Abstract Background Coronary artery pseudoaneurysm is a rare disease that can rupture and cause haemopericardium. It can occur principally as a complication after coronary artery instrumentation, but it can also result from trauma. Case summary A 15-year-old male patient with a history of spontaneous pneumothoraces treated twice with video-assisted thoracoscopic thoracic surgery presented with pericarditis and increasing haemopericardium. During the hospitalization, he had developed cardiogenic shock and he underwent emergent pericardiocentesis. Coronary angiography revealed a small right coronary artery pseudoaneurysm. We successfully coil embolized the pseudoaneurysm. Discussion This is a rare case of a ruptured coronary artery pseudoaneurysm associated with prior tube thoracostomy. The treatments for a coronary pseudoaneurysm should be tailored based on the pathologic and anatomical characteristics.

Delayed chylopericardium as a rare complication after combined mitral valve and coronary artery bypass surgery : online article - case report

2013 ◽  
Vol 24 (4) ◽  
pp. e7-e9 ◽  
Author(s):  
Bilgehan Savas Oz ◽  
Gokhan Arslan ◽  
Suat Doganci ◽  
Erkan Kaya ◽  
Kubilay Karabacak ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Rare Complication ◽  
Artery Bypass

The Potential Value of Hybrid Positron Emission Tomography/Dual-Source Computed Tomography Imaging in Coronary Bypass Surgery

2011 ◽  
Vol 14 (5) ◽  
pp. 283 ◽  
Author(s):  
Andre Plass ◽  
Maximilian Y. Emmert ◽  
Oliver Gaemperli ◽  
Hatem Alkadhi ◽  
Philipp Kaufmann ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Positron Emission Tomography ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Myocardial Perfusion ◽  
Predictive Value ◽  
Bypass Surgery ◽  
Emission Tomography ◽  
Positron Emission ◽  
Pet Ct

<p><b>Background:</b> We evaluated how comprehensive assessment of coronary artery lesions and their hemodynamic relevance by means of hybrid positron emission tomography (PET) and computed tomography (CT) imaging would affect decision-making in coronary artery bypass surgery (CABG), compared with using invasive coronary angiography (ICA) alone.</p><p><b>Methods:</b> After undergoing ICA, 27 patients (21 men and 6 women; mean SD age, 66 � 10 years) planned for cardiac surgery were scheduled for myocardial perfusion stress/rest evaluation with [13N]ammonia PET and CT coronary angiography. Only ICA was available to the surgeon. Postoperatively, the performed CABG was compared with the hypothetical strategy based on hybrid PET/CT findings (regional coronary flow reserve [CFR], myocardial perfusion defects). Procedures included CABG (n = 18) alone, CABG combined with valve replacement (n = 6), and CABG combined with isolated valve replacement (n = 3). A total of 56 bypass grafts (28 venous and 28 arterial) and 66 distal anastomoses were placed.</p><p><b>Results:</b> CT evaluation showed 93% concordance (66/71) with ICA regarding significant stenoses, with sensitivity, specificity, positive predictive value, and negative predictive value of 93.1%, 98.7%, 94.4%, and 98.4%, respectively. In the PET scan, 16 patients had 1 ischemic region, and 12 patients had 1 scar region, including 5 patients who presented with mixed conditions (scar and ischemia). One patient had a completely normal myocardium. Compared with the performed surgery, PET/CT fusion evaluation showed that of the performed anastomoses, 48% had documented ischemia (with a CFR <2 in 86%), 38% were nonischemic (although a CFR value <2 was found in 78%), and 14% had scar tissue (fixed perfusion defect).</p><p><b>Conclusions:</b> Although <50% of bypasses were placed to areas with myocardial ischemia, the CFR was low in the majority of nonischemic regions, a finding that may have important prognostic relevance. PET/CT fusion imaging could potentially influence planning for CABG and provide incremental prognostic information.</p>

2005 ◽  
Vol 20 (4) ◽  
Author(s):  
Marcelo L. P. Sobral ◽  
Luis A. S. Santos ◽  
Gilmar G. Santos ◽  
Noedir A. G. Stolf
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Review Of The Literature ◽  
Concise Review

Tetraplegia after Coronary Artery Bypass Surgery in a Patient with Cervical Herniation

2010 ◽  
Vol 5 (2) ◽  
pp. 134-135 ◽  
Author(s):  
Alper Gorur ◽  
Numan Ali Aydemir ◽  
Nurgül Yurtseven ◽  
Mehmet Salih Bilal
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Surgical Decompression ◽  
Cervical Disc ◽  
Resonance Imaging ◽  
Cervical Magnetic Resonance Imaging

Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a case of tetraplegia after uncomplicated coronary artery bypass surgery because of cervical disc herniation. No distinct abnormality was found in the preoperative neurologic examination although the postoperative cervical magnetic resonance imaging revealed a huge hernia at C5–C6 level presenting with tetraplegia. Surgical decompression was performed on the second postoperative day of bypass surgery, and neurologic deficits gradually improved.

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